Individual
LAWRENCE FITZGERALD FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
2701 W VERNON AVE, LOS ANGELES, CA 90008-3931
(800) 355-4615
Mailing address
2701 W VERNON AVE, LOS ANGELES, CA 90008-3931
(800) 355-4615
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-NQKGMV
CA
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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